MEDICARE: DR. ROBERT JAY FEDERMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0097352	FL
2	207R00000X	Internal Medicine Physician	4301074380	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316922685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAY FEDERMAN M.D.

Provider Business Mailing Address
First Line	:	39450 W 12 MILE RD
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3600
Country	:	US
Telephone Number	:	248-344-0710
Fax Number	:	248-344-0720

Provider Business Practice Location Address
First Line	:	39450 W 12 MILE RD
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3600
Country	:	US
Telephone Number	:	248-344-0710
Fax Number	:	248-344-0720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/22/2021

Similar Medicare Providers

1205612686 — CAROLINE BAUER MSN, AGPCNP
Practice Location Address:

39450 W TWELVE MILE RD
NOVI, MI
48377-3600

Practice Phone: 248-344-0710
Practice Fax: 248-344-0720

1750813234 — DR. IANA STONIER M.D.
Practice Location Address:

39450 W 12 MILE RD
NOVI, MI
48377-3600

Practice Phone: 248-344-4147
Practice Fax:

1740218999 — MRS. KIMBERLY T CANTILLON PA
Practice Location Address:

39450 W 12 MILE RD
NOVI, MI
48377-3600

Practice Phone: 313-461-4632
Practice Fax:

1013923705 — MR. PATRICK CURTIS PT
Practice Location Address:

39450 W 12 MILE RD STE 1A
NOVI, MI
48377-3600

Practice Phone: 248-344-2300
Practice Fax: 248-344-2301

1497832828 — KSHAMA S JAYASURIYA R.PH
Practice Location Address:

39450 W 12 MILE RD
NOVI, MI
48377-3600

Practice Phone: 248-344-0705
Practice Fax: 248-344-0735

1922178797 — MELISSA ROMAN APRN-BC
Practice Location Address:

39450 W 12 MILE RD FL 2
NOVI, MI
48377-3600

Practice Phone: 313-916-7359
Practice Fax: 313-916-9027

Directions to “ DR. ROBERT JAY FEDERMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.